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Rule of the ': If the ____ and the _____ are ______ in the ame direction then it i meta_____
pH, icar, oth, olic
pH 7.30_______ HCO3 20_______
↓= acidoi; ↓= metaolic
pH 7.58_______ HCO3 32_______
↑= alkaloi; ↑= metaolic
pH 7.22_______ HCO3 30_______
↓= acidoi; ↑= repirator
You are providing care to a client with the following lood ga reult: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. aed on thee reult, the client i experiencing:
↓= acidoi; ↑= repirator
MacKumaul
The onl acid ae to caue Kumaul repiration i Metaolic ACidoi
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A the _______ goe, o goe _______ except for _______
pH, m patient, Potaium
Up
hokalemia, alkaloi, HTN, Tachcardia, Tachpnea, Seizure, Irritailit, Spatic, Diarrhea, ororgme, hperreflexia, etc
Down
hperkalemia, acidoi, htn, radcardia, contipation, aent owel ound, flacid, radpnea
Caue of acid ae imalance: Firt ak ourelf, "I it _______?" If e, then it' _______. Then ak ourelf: "Are the _______ or _______. If _______, pick _______. If _______, pick _______
lung, repirator, overventilating, underventilating, overventilating, alkaloi, underventilating, acidoi
Caue of acid ae imalance: If it' not lung, then it' _______. If the patient ha _______ _______ vomiting or uction, pick _______. For everthing ele that in't lung, pick _______ _______. When ou don't know what to pick, chooe _______
metaolic, prolonged gatric, alkaloi, metaolic acidoi, metaolic acidoi
High preure alarm are triggered _______ reitance to air flow.
What i Malow' highet priorit to lowet priorit?
- Phiological
- Safet
- Comfort
- Pchological (prolem within the peron)
- Social (prolem with other people)
- Spiritual
Arrange from highet to lowet priorit uing Malow': Denial Spiritual Ditre Pain in low Fall Rik Pathological Famil Dnamic lectrolte Imalance
lectrolte Imalance (Phiological) Fall Rik (Safet) Pain in low (Comfort) Denial (Pchological) Pathological Famil Dnamic (Social) Spiritual Ditre (Spiritual)
What are the 5 tage of grief?
Denial Anger argain Depreion Acceptance
The #1 prolem in aue i _______
denial
Denial i the _______ to accept the _______ of their prolem
refual, realit
Treating denial: _______ it pointing out to the peron the difference etween what the _______ and what the _______. In contrat, _______ the denial of lo and grief
confront, a, do, upport
Dependenc: When the _______ get the Significant Other to do thing for them or make deciion for them
auer
Codependenc: When the _______ _______ derive poitive _______ from doing thing for or making deciion for the _______
Significant Other, elf eteem, auer
When treating dependenc/codependenc: Set _______ and _______ them. Agree in advance on what requet are allowed, then enforce the agreement
limit, enforce
When treating dependenc/codependenc: Work on the _______ of the codependent peron
elf eteem
Manipulation: when the _______ get the _______ _______ to do thing for him/her that are not in the _______ _______ of the _______ _______. The nature
Onet and duration of effectivene of Antaue/Revia: _______
2 week
Patient teaching with Antaue/Revia: Avoid _______ form of _______ to avoid _______, _______, _______
all, alcohol, nauea, vomiting, death
What are example of product that contain alcohol?
mouth wah, cologne, perfume, afterhave, elixir, mot OTC liquid medicine, inect repellant, vanilla extract, vinagerette, hand anitizer
ver alcoholic goe through _______. Onl a minorit get _______
Alcohol Withdrawal Sndrome, Delirium Tremen
_______ i not life threatening. _______ can kill ou
Alcohol Withdrawal Sndrome, Delirium Tremen
Patient with _______ are not a danger to themelve or other. Patient with ________ are dangerou to elf and other
Alcohol Withdrawal Sndrome, Delirium Tremen
AWS or DT: emiprivate room, an location
AWS
AWS or DT: private room near the nure' tation
DT
AWS or DT: Regular diet
AWS
AWS or DT: Clear liquid or NPO diet (rik for apiration)
DT
AWS or DT: Up at liert
AWS
AWS or DT: Retricted to edret with no athroom privilege
DT
AWS or DT: No retraint
AWS
AWS or DT: Uuall retrained with either vet or 2 point (1 arm and 1 leg)
mcin, mcin
What are ome example of wannae mcin?
Azithromcin, Clarithromcin, rthromcin
What are ome example of aminoglcoide?
Streptomcin, Cleomcin, Toramcin, Toramcin, Gentamcin, Vancomcin, Clindamcin
When rememering toxic effect of mcin' think _______
mice= ear
What i the toxic effect of aminoglcoide and what mut ou monitor?
ototoxicit; monitor hearing, alance, and tinitu
The human ear i haped like a _______ o another toxic effect of aminoglcoide i _______ o monitor _______
kidne, nephrotoxicit, creatinine
The numer "___" drawn inide the ear remind ou of cranial nerve ___ and frequenc of adminitration ___
8, 8, Q8H
Do not give aminoglcoide PO expect in thee 2 cae:
- _______ _______ (due to high _______ level)
- Pre op _______ urger
hepatic encephalopath (liver coma, ammonia induce encephalopath), ammonia, owel
Who can terilize m owel?
Neo Kan
What i the reaon for drawing Trough and Peak level?
Narrow therapeutic level
When do ou ALWAYS draw the Trough?
30 minute efore next doe
When do ou draw the Peak level of Sulingual medication?
5 10 minute after drug diolve
When do ou draw the Peak level of IV medication?
What are iological Agent in Categor C?
Nipeh Viru Hanta Viru
When it come to iological Agent: Categor __ i _______, Then Categor __, Then Categor __
A, the wort, , C
Small Pox
Inhaled tranmiion/ on airorne precaution die from epticemia no treatment rah tart around mouth firt Categor A
Tularemia
chet mptom die from repirator failure treat with treptomcin Categor A
Anthrax
pread inhalation look like the flu die from repirator failure treat with upro, PCN, and treptomcin Categor A
Plague
pread inhalation ha the 3 H': Hemopti (coughing up lood), Hematemei (vomiting up lood), Hematochezia (lood in tool) dei from repirator failure and DIC (leed to death) treat with Doxccline and Mcin no longer communicale after 48 hour of treatment Categor A
Hemorrhagic illnee
primar mptom are petechiae (pinpoint pot) and ecchmoe (ruiing) high % fatal Categor A
otulim
it i ingeted ha 3 major mptom: decending parali, fever, ut i alert die from repirator arret Categor A
What are ome example of chemical agent that caue ioterrorim?
Mutard ga Canide Phogine chlorine Sarin
Which agent do ou iolate the patient for?
iological Agent
Which agent do ou decontaminate for?
Chemical Agent
How doe decontamination work?
Gather expoed people Take to decontamination center where people remove clothing, hower, dre in non contaminated clothe, then releae to other ervice Put contaminated clothing in pecial ag and throw awa (e ure not to touch it)
Calcium Channel locker: the are like ________ for our heart. What doe that mean?
Valium. It relaxe the heart
Calcium Channel locker: _______ inotropoic, chronotropic, dromotropic
Negative
Inotropic
trength of heart
Poitive Inotropic
trong hearteat
Negative Inotropic
weak hearteat
Chronotropic
rate of hearteat
Poitive Chronotropic
fat hearteat
Negative Chronotropic
low hearteat
Dromotropic
conductivit of heart
Hpotenion
Name of Calcium Channel locker can e rememered aing....
I op zem dipine in the Calcium Channel ("zem", "dipine", "verapamil/ioptin")
"QRS depolarization" alwa refer to __________
Ventricular (not atrial, junctional or nodal).
"P wave" refer to _________
Atrial
Atole
a lack of QRS depolarization (flat line)
Atrial Flutter
rapid P wave depolarization in a aw tooth pattern (flutter)
Atrial Firillation
chaotic P wave depolarization
Ventricular Tachcardia
wide izarre QRS'
Premature Ventricular Contraction (PVC)
Periodic wide, izarre QRS'
e concerned aout PVC' if:
More than 6 per minute 6 in a row PVC fall on T wave of previou eat
What are the lethal arrhthmia?
atole and ventricular firillation
What i the potentiall life threatening arrhthmia?
- v tach, 2. a fi, 3. a flutter
When dealing with an IV puh drug if ou don't know go ____ except ________!
